Attachment 2- Past Performance Information.docx
DOCX document 16 KB Posted
- Attached to
- R499--478-26-1-6869-0002: VISN 1 HR - Workers Compensation Surveillance (VA-26-00013938)
- Solicitation number
- 36C24126Q0087
About this file
The document is a Past Performance Information worksheet template designed for contractors to provide detailed historical contract information. The template includes sections for capturing comprehensive contract details such as contracting activity name, contract number, award date, contract duration, total contract value, type of contract, technical and contracting points of contact, place of performance, work description, commendations, major subcontractors, and additional comments.
This template appears to be specifically associated with a Department of Veterans Affairs (VA) solicitation (Solicitation Number: 36C24126Q0087) for Workers Compensation Surveillance services within VISN 1 (Veterans Integrated Service Network 1). The solicitation is a 100% Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside for commercial items, targeting NAICS code 561611 with a small business size standard of $25 million. The solicitation was recently amended to extend the deadline to 12/22/2025, and requires vendors to be registered in SAM.gov and VetCert databases, and verified by the Small Business Administration.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 4- P07 Wage Determination.docx | DOCX document | |
| Attachment 3- Line Item Pricing Template.docx | DOCX document | |
| Attachment 1- Solicitation Questions Background Investigation 12.5.25.docx | DOCX document | |
| 36C24126Q0087 0002.docx | DOCX document | |
| 36C24126Q0087 0001.docx | DOCX document | |
| VA Notice 24-12.pdf | ||
| 36C24126Q0087.docx | DOCX document | |
| Appendix B.pdf | ||
| VISN 1 Background Investigation SDVOSB Combined Synopsis.docx | DOCX document |
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Text version
1. Name of Contracting Activity, Government Agency, Commercial Firm or other Organization:
2. Contracting Activity Address:
| 3. Contract Number: |
| 4. Date of Contract Award: |
| 5. Beginning Date of Contract: |
| 6. Completion Date of Contract: |
| 7. Contract Value: |
| 8. Type of Contract: |
9a. Technical Point of Contact:
Name:
Title:
Address:
Phone:
Email:
9b. Contracting Point of Contact:
Name:
Title:
Address:
Phone:
Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:
14. Additional comments:
D.3 Past Performance Worksheet
File details come from the government source that posted it. Updated .